Provider Demographics
NPI:1285747519
Name:CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER, INC.
Entity type:Organization
Organization Name:CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-672-4211
Mailing Address - Street 1:PO BOX 224
Mailing Address - Street 2:
Mailing Address - City:DURAND
Mailing Address - State:WI
Mailing Address - Zip Code:54736-0224
Mailing Address - Country:US
Mailing Address - Phone:715-672-4211
Mailing Address - Fax:715-672-3047
Practice Address - Street 1:1220 3RD AVE W
Practice Address - Street 2:
Practice Address - City:DURAND
Practice Address - State:WI
Practice Address - Zip Code:54736-1600
Practice Address - Country:US
Practice Address - Phone:715-672-4211
Practice Address - Fax:715-672-3047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-17
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1008282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI52Z307Medicare Oscar/Certification
WI52Z307Medicare Oscar/Certification
WI1013866OtherPREFERRED ONE PPO
WI=========OtherCHAMPUS
WI=========015OtherBLUE CROSS
WI5014070OtherMEDICA